Operative surgery . n the catheter. The longitudinalincision was then converted into transverse union by means of two finesilk sutures (Fig. 10T9), thus curing the stric-ture. Closure of the exploratory parenchym-atous incision, and immediate nephropexy,completed the operation. The wound healedby first intention, and the patient remainedwell at last report. Stricture of the ureterat a lower point may be cured by extra-peritoneal longitudinal division, folding andsewing as in the preceding instances (). The Resection of the Ureter for Stricture.—In this procedure an inch or so of the tu
Operative surgery . n the catheter. The longitudinalincision was then converted into transverse union by means of two finesilk sutures (Fig. 10T9), thus curing the stric-ture. Closure of the exploratory parenchym-atous incision, and immediate nephropexy,completed the operation. The wound healedby first intention, and the patient remainedwell at last report. Stricture of the ureterat a lower point may be cured by extra-peritoneal longitudinal division, folding andsewing as in the preceding instances (). The Resection of the Ureter for Stricture.—In this procedure an inch or so of the tubeis removed for stricture or other reasons,and the wound is repaired by restoration ofthe continuity of the duct. Kiister firstpracticed the proposition in 1891. Kusfer\s Method.—After a lumbar fistulaand vesical anuria, following a lumbo - ne-phrotomy, had existed for two years, Kiistersecured patency of the ureter in two monthsby the following plan : Failing to find theureter through an extraperitoneal lumbar. Fk;. 1080.—Operation for cure ofstricture of ureter, Fengersmethod. A. Strictured Stricture divided. C. Ex-tremities of incision (n a)united. Ureter folded at d. 876 OPERATIVE SURGERY. iucisiou, he opened the pelvis of the kidney, disclosed the ureteral orifice,and with a probe located a stricture close to it. lie divided the uretertransversely (Fig. 1081), just below the stricture and at the pelvic entrance,and closed the upper opening of the ureter and removed the then slit up the ureter below at one side for a short distance (x), andintroduced it through an incision made in the wall of the pelvis of the kid-ney, unfolded the end and sutured its borders to those of the opening in thepelvis (Fig. 1082), closing the remaining portion of the latter with fistula closed at the end of four montlis and the patient successful resections have been rejiorted since this of Kusters.
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